JOHN R ELLISON DO

HOLZER CLINIC LLC

Dr JOHN R ELLISON DO is a male medical professional, specializing in Family Medicine. He graduated in 1983 from West Virginia School Of Osteopathic Medicine.

Contact

HOLZER CLINIC LLC

100 JACKSON PIKE
GALLIPOLIS
OH
456311560

Tel: 7404465050

JOHN R ELLISON DO Information

Npi 1669427118
Pac Id 1052371242
Professional Enrollment Id I20070314000178
Last Name ELLISON
First Name JOHN
Middle Name R
Suffix
Gender M
Credential DO
Medical School Name WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year 1983
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HOLZER CLINIC LLC
Group Practice Pac Id 5890606008
Number Of Group Practice Members 226
Line 1 Street Address 100 JACKSON PIKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALLIPOLIS
State OH
Zip Code 456311560
Phone Number 7404465050
Hospital Affiliation Ccn 1 360054
Hospital Affiliation Lbn 1 HOLZER MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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